Coastal Counseling Center Of Brick, Llc. | |
1451 Route 88 W Suite 4a Brick NJ 08724-2371 | |
(732) 785-2744 | |
Not Available |
Full Name | Coastal Counseling Center Of Brick, Llc. |
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Speciality | Marriage & Family Therapist |
Location | 1451 Route 88 W, Brick, New Jersey |
Authorized Official Name and Position | Joann Devizio (LMFT) |
Authorized Official Contact | 7327852744 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coastal Counseling Center Of Brick, Llc. 1451 Route 88 W Suite 4a Brick NJ 08724-2371 Ph: (732) 785-2744 | Coastal Counseling Center Of Brick, Llc. 1451 Route 88 W Suite 4a Brick NJ 08724-2371 Ph: (732) 785-2744 |
NPI Number | 1316247570 |
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Provider Enumeration Date | 10/21/2010 |
Last Update Date | 10/21/2010 |
Medicare PECOS PAC ID | 6507129137 |
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Medicare Enrollment ID | O20180413000373 |
Identifier | Type | State | Issuer |
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1316247570 | NPI | - | NPPES |
Provider Name | Judy A Firsichbaum |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437214020 PECOS PAC ID: 7113966433 Enrollment ID: I20050427000065 |
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